Post mortem: Essays, historical and medicalMacLaurin, C. (Charles)
History
Post mortem: Essays, historical and medical
MacLaurin, C. (Charles)
Biography; Pathology
He was tapped for the hydrocele on November 14; four quarts of fluid
were removed, the swelling was diminished to nearly half its size,
and the remaining part was a “soft irregular mass.” Evidently there
was more there than a simple hydrocele, and straightway it began to
refill so rapidly that they had to agree to re-tap it in a fortnight.
Mr. Cline must have felt anxious; he would know “how many beans make
five” well enough, and his patient was the most distinguished man
in the world. Many students who have at examinations in clinical
surgery wrestled with Cline’s splint will probably consider that
Cline’s punishment for inventing that weapon really began on the day
when he perceived Gibbon’s hydrocele to be rapidly re-filling. The
fortnight passed, and the second tapping took place, “much longer, more
searching, and more painful” than before, though only three quarts of
fluid were removed; yet Mr. Gibbon said he was much more relieved than
by the first attempt. Thence he went to stay with Lord Auckland at a
place called Eden Farm; thence again to Sheffield House. There, in the
dear house which to him was a home, he was more brilliant than ever
before. It was his “swan song.” A few days later he was in great pain
and moved with difficulty, the swelling again increased enormously,
inflammation set in, and he became fevered, and his friends insisted
on his return to London. He returned in January, 1794, reaching his
chambers after a night of agony in the coach; and Cline again tapped
him on January 13. By this time the tumour was enormous, ulcerated and
inflamed, and Cline got away six quarts. On January 15 he felt fairly
well except for an occasional pain in his stomach, and he told some of
his friends that he thought he might probably live for twenty years.
That night he had great pain, and got his valet to apply hot napkins to
his abdomen; he felt that he wished to vomit. At four in the morning
his pain became much easier, and at eight he was able to rise unaided;
but by nine he was glad to get back into bed, although he felt, as
he said, _plus adroit_ than he had felt for months. By eleven he was
speechless and obviously dying, and by 1 p.m. he was dead.
Public-domain text, read in full here on John Shaqi.
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